IVUS-Guided Salvage of Acute Venous Stent Fracture at Compression Site in May-Thurner Syndrome
Abstract
Background: May-Thurner syndrome results from chronic compression of the left common iliac vein between the right common iliac artery and the lumbar vertebrae. It predisposes to iliofemoral deep-vein thrombosis.
Case summary: A 40-year-old man presented with recurrent ulceration of the left medial gaiter region. Computed tomography venography revealed compression of the left common iliac vein. Endovascular therapy was performed and a dedicated venous stent was deployed. Postdilatation of the stent resulted in fracture of the stent at the compression point. Rescue was achieved by deploying an overlapping venous stent, restoring circular luminal geometry. The patient experienced symptomatic improvement, and the venous ulcer resolved within 5 months.
Discussion: This report illustrates a rare complication of venous stenting and emphasizes the critical role of intravascular ultrasound in recognizing device failure and guiding immediate corrective intervention.
Take-home messages: May-Thurner syndrome should be suspected in young patients with severe unilateral chronic venous disease. Fracture of venous stents may occur at the iliac compression site after deployment.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Effectiveness of Bisphosphonates and Denosumab on Risk of Vertebral Fractures in Prostate Cancer Patients Under Androgen Deprivation Therapies: A Real-World Prospective Study
- Osteoporosis-related fractures after spinal cord injury: a retrospective study from Brazil
- Serum 25-hydroxyvitamin D, parathyroid hormone, and mortality in older men
- Lack of Association between Vitamin D Insufficiency and Cardiovascular or Fracture Risk: A UK Biobank Study
- Muscle strength and body composition are clinical indicators of osteoporosis
- Incidence of bone protection and associated fragility injuries in patients with proximal femur fractures
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.